The effect of upper extremity support on upper extremity posture and muscle activity during keyboard use

Forearm support during keyboard use has been reported to reduce neck and shoulder muscle activity and discomfort. However, the effect of forearm support on wrist posture has not been examined. The aim of this study was to examine the effect of 3 different postures during keyboard use: forearm support, wrist support and “floating”. The floating posture (no support) was used as the reference condition. A wrist rest was present in all test conditions. Thirteen participants completed 20 min wordprocessing tasks in each of the test conditions. Electromyography was used to monitor neck, shoulder and forearm muscle activity. Bilateral and overhead video cameras recorded left and right wrist extension, shoulder and elbow flexion and radial and ulnar deviation. The forearm support condition resulted in significantly less ulnar deviation (<p=0.007), less time spent in extreme ulnar deviation (p=0.002) and less reports of discomfort than the “floating” condition (p=0.002). The wrist support but not the forearm support condition resulted in less trapezius and anterior deltoid muscular activity (p<0.007). These findings indicate that typing with upper extremity support in conjunction with a wrist rest may be preferable to the “floating” posture implicit in current guidelines.